Individual provider Active NPI

Vilma M Vega, MD

  • Internal Medicine Physician
  • Safety Harbor, FL
National Provider Identifier
1164529608
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0068013 Issued in FL
Practice address
3135 State Road 580 Ste 1
Safety Harbor, FL 34695-4917
Phone
(727) 725-9931
NPI assigned
Sep 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME 0068013 FL
Internal Medicine Physician 207R00000X ME0068013 FL Primary

Addresses

Primary practice location

3135 State Road 580 Ste 1
Safety Harbor, FL 34695-4917

Mailing address

8390 Champions Gate Blvd Ste 215
Champions Gate, FL 33896-8312
Phone (407) 479-2013

Other identifiers 2

IdentifierTypeStateIssuer
26771OtherFLBCBS FL
378141100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100220000109 FL Practitioner - Infectious Disease 2961591888 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 0068013FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Nov 2, 2021 Accepting new patients
Florida Department of Health CurrentSince Nov 2, 2021 Accepting new patients

Locations

34 S Baldwin Ave
Arcadia, FL 34266
Phone (863) 491-7580

1031 E Oak St
Arcadia, FL 34266
Phone (863) 491-7580

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1164529608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD STE 215",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968312",
            "telephone_number": "407-479-2013",
            "fax_number": "407-390-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 STATE ROAD 580 STE 1",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954917",
            "telephone_number": "727-725-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "VILMA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME 0068013",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0068013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "26771",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378141100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.